BRIAN R CRICHLOW M.D.
NPI 1902986292
Ophthalmology in Roanoke Rapids, NC

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
83.5/100
CMS Quality Rating
204 BECKER DR, ROANOKE RAPIDS, NC 27870(252) 537-8193(252) 537-0589 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian R Crichlow M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN R CRICHLOW M.D. (NPI 1902986292) is an individual ophthalmology provider in Roanoke Rapids, North Carolina, licensed in North Carolina (200400660) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Ecu Health North Hospital, and is a graduate of Duke University School Of Medicine (1999).

NPPES Registry Identity

NPI1902986292
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameBRIAN R CRICHLOWCredential: M.D.
Location Address204 BECKER DRRoanoke Rapids, NC 27870-3134
Mailing Address204 Becker DrRoanoke Rapids, NC 27870-3134 · (252) 537-8193 · Fax (252) 537-0589
Fax(252) 537-0589
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1999
Enumeration DateOctober 17, 2006
Last NPPES UpdateNovember 11, 2020
NPPES CertifiedNovember 11, 2020
NPI 1902986292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in NC · 200400660 Licensed in VA · 0101236455
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
204 BECKER DR, Roanoke Rapids, NC 27870

Other Identifiers 7

Other146403VA · Anthem Bcbs
Medicaid010311063VA
Medicaid010089701VA
OtherI07378Upin
Other137UENC · Bcbs Of Nc
Other146404VA · Anthem Bcbs
Medicaid89137UENC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brian R Crichlow M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153309182
PECOS Enrollment IDI20040707001485, I20040810001495
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 22

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,111 services963 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
492 services468 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
430 services421 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
400 services372 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
338 services170 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
324 services202 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ecu Health North Hospital

Acute Care Hospitals · Roanoke Rapids, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340151
Location250 Smith Church RoadRoanoke Rapids, NC 27870 · Halifax County
Emergency services Birthing friendly

Community Memorial Hospital

Acute Care Hospitals · South Hill, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490098
Location1755 North Mecklenburg AvenueSouth Hill, VA 23970 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27870 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost45

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers25 claims25 services$55.13 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers12 claims21 services$41.40 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims17 services$59.66 avg. paid by Medicare
U-v lens, per lens V2755
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier24 claims46 services$13.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
204 BECKER DR
ROANOKE RAPIDS, NC 27870
Ophthalmology
204 BECKER DR
ROANOKE RAPIDS, NC 27870
Ophthalmology
204 BECKER DR
ROANOKE RAPIDS, NC 27870

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Crichlow's NPI number?

The NPI number for Brian Crichlow is 1902986292. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Brian Crichlow located?

Brian Crichlow practices at 204 Becker Dr, Roanoke Rapids, NC 27870. The listed phone number is (252) 537-8193.

What is Brian Crichlow's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Brian Crichlow enrolled in Medicare?

Yes. Brian Crichlow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brian Crichlow accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Brian Crichlow as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brian Crichlow affiliated with any hospitals?

According to CMS data, Brian Crichlow is affiliated with Ecu Health North Hospital and Community Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Brian Crichlow was last updated on November 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.